A nurse is admitting a client who is at 9 weeks of gestation and in active labor when screened at 6 weeks of gestation.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationalePreparing for a cesarean birth is not an immediate necessity unless there are complications that warrant such intervention. Cesarean births are typically reserved for situations where vaginal delivery poses a risk to the mother or the baby.Choice B rationaleAdministering IV antibiotic prophylaxis is critical in preventing potential infections during the labor process, especially given the early gestation period. This helps in safeguarding both the mother and the fetus from infections like group B streptococcus.Choice C rationaleObtaining a vaginal culture is generally done to check for infections such as bacterial vaginosis or sexually transmitted infections. However, it is not an immediate priority when the patient is already in active labor.Choice D rationaleAdministering metronidazole orally is used to treat bacterial infections but is not an immediate action required in this scenario. Metronidazole may not be the most suitable choice during labor as it does not provide immediate infection prevention.